Employment Application Form

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Employment Assistance: To provide financial assistance to employed tribal members in order to retain their current employment. Assistance payment shall not exceed $1500.00 for the calendar year (Jan-Dec).


Eligibility for Employment Assistance Program:

1.      Must be currently employed.

2.      Applicant must be in good standing with the Tribe.


Required Documentation:

1.      Current Paystubs for the past Thirty (30) days. If self-employed, you can provide your tax form from the previous year.

2.      Quotes or receipts for your request. If the documentation is not attached, we will not be able to process your assistance.

3.      Completed vendor form (3rd page of this application) with Name, Address and amount owed to each vendor. If you are requesting reimbursement, please put your information as the vendor.


Scope of Assistance:

-Vehicle purchase, vehicle repairs, DMV fees, etc.

-Transportation Assistance - Gas Card yearly max amount $300.00

-Work Clothing, Shoes/Boots, Uniforms, etc. - yearly max amount $500.00 (must turn in receipts)

-Equipment/tools needed for work (Must show need)

-Any other employment related requests approved by the Program Manager.

Enterprise Rancheria Logo

ENTERPRISE RANCHERIA

2133 Monte Vista Ave.

Oroville, CA 95966

Phone: (530) 532-9214  Fax: (530) 871-6655


Employment Assistance Program

Applicant Information

Employment Details

Accepted file types: pdf, jpg, jpeg, png, doc, docx, Max. file size: 64 MB.

Signature

Vendor 1

Vendor 2

Vendor 3

Vendor 4

Vendor 5